MS. NANCY ALEXANDRIA CAVANAUGH PNP
NPI 1255531638
Nurse Practitioner - Pediatrics in Medford, OR

Q: What is Nancy Cavanaugh's NPI number?

The NPI number for Nancy Cavanaugh is 1255531638. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Q: What is Nancy Cavanaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Cavanaugh was last updated on March 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2007

3617 S PACIFIC HWY, MEDFORD, OR 97501(541) 535-6239(541) 512-1026 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Nancy Alexandria Cavanaugh Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NANCY ALEXANDRIA CAVANAUGH PNP (NPI 1255531638) is an individual pediatrics provider in Medford, Oregon, licensed in Oregon (201250005NP) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1255531638

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. NANCY ALEXANDRIA CAVANAUGHCredential: PNP

Location Address3617 S PACIFIC HWYMedford, OR 97501-8957

Mailing Address859 White Oak AveCentral Point, OR 97502-3608 · (541) 423-5332

Phone(541) 535-6239

Fax(541) 512-1026

Sole ProprietorNo

Enumeration DateJuly 23, 2007

Last NPPES UpdateMarch 14, 2014

✔ NPI 1255531638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in OR · 201250005NP✔ Licensed in AK · 220

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 201142758RN (OR), 201250005NP (OR)

3617 S PACIFIC HWY, Medford, OR 97501

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Other Identifiers 3

OtherR173833OR · Medicare Ptan

Medicaid500648116OR

MedicaidNP13731AK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMARA JOY CHAMBERS APRN, FNP-C

Nurse Practitioner (Family)